PRODUCTS FOR MANAGING ORAL MALODOR
I.
CAUSES OF ORAL MALODOR
A.
B.
II.
Non-oral causes
-Systemic Sources – diabetes, high protein/low carb diets, renal or hepatic failure, sinus
infections, internal bleeding
-Medications that cause malodor – Antabuse, DMSO, Griseofulvin, Isosorbide dinitrate
-Xerogenic Medications – antidepressants, antihypertensives, CNS stimulants, narcotics
Dental Causes of oral malodor
-Gingivitis, periodontitis, gross carious lesions, subgingival/tongue plaque, tonsilloliths
-Bacteria include Treponema denticola, Porphyromonas gingivalis, Prevotella intermedia,
Tannerella forsythensis, Porphyromonas endodontalis, and Eubacterium species
TESTING FOR ORAL MALODOR
A. Organoleptic Testing – sniff or smell patient’s mouth and nose air-scale 0-5
B. Halimeter by InterScan (Chatsworth, CA) is an “electronic nose” for VSCs
III.
TREATMENT FOR ORAL DISEASES – TONGUE CLEANERS
A.
B.
C.
D.
E.
F.
G.
IV.
Orafresh Tongue Blade – pediatric and adult sizes, Alwin Enterprises, 800.749-4553
Oolitt – bendable and low profile loop cleaners, Deep Trading Corp, 813.931.0390
Denteco – disposable razor-like, Denteco, Inc., 508.755.0804
Dr. Weider’s – tung brush and gel, Peak Enterprises, www.tungbrush.com
Dr. Tung’s – stainless steel arch/padded grippers or single handed, Dr.Tung’s
Vista – disposable razor-like, Vista, Inc., 414.636.9755
Sakool – bendable plastic rod, U.S. Dentek Corp., 800.433.6835
CHEMICAL PRODUCTS EFFECTIVE FOR ORAL MALODOR REDUCTION
A.
B.
C.
Zinc Salts (chloride, citrate, acetate) – sustained breath odor reduction for 3 hours
a.
Toothpastes – TriOral, Listerine Tartar Control, Viadent Advanced Care, Aim TC, Close-Up
TC, Kiss My Face Tartar Control, Smart Mouth Toothpaste
b.
Mouthwashes – Lavoris, Listermint, Listerine Tartar Control
Chlorine Dioxide (sodium chlorite) – sustained breath odor reduction for 5 hours
a.
Toothpastes – Oxyfresh, CloySys II, Therabreath, Profresh,
b.
Mouthwashes – Oxyfresh, CloSys II, Therabreath, Enfresh, Profresh
Essential Oils of Listerine (menthol, thymol, eucalyptol) – sustained breath odor reduction for 3 hours
a.
b.
D.
Toothpastes – Listerine EC paste and gel, Breath-So-Fresh Toothpaste
Mouthwash – Listerine EC Mouthwash, many store brands
Combinations of two of the above effective ingredients
a.
b.
c.
Smart Mouth – chlorine dioxide and zinc chloride mouthwash www.smartmouth.com
Breath-So-Fresh – essential oils and zinc chloride
Oxyfresh with Zinc – chlorine dioxide and zinc chloride www.badbreathcenter.com
V. Product Lines Promoted for Halitosis Treatment
CHEMICAL
MANUFACTURER
PRODUCT LINE/CHARACTERISTICS
COMBINATIONS
1.) Chlorine Dioxide & Zinc
TheraBreath
TheraBreath Global
www.therabreath.com
Oxyfresh Worldwide Inc.
www.oxyfreshww.com
Oxyfresh
Breeze
BreezeCare
www.breezecare.com
BreezeCare
ProFresh
www.profresh.com
Rowpar Pharmaceuticals Inc.
www.rowpar.com
www.enfresh.com
KFORCE
ProFresh
CloSYSII
EnFresh
BreathGel
TriOral Professional
SmartMouth Retail
International Dental Design
Specialist, Inc.
TriOral
www.trioral.com
www.smartmouth.com
Toothpaste, Oral Rinse, Breath Strips, Chewing
Gum, Zox Mints, Mouth Sprays
Toothpaste-Flouride/Non-Flouride, Mouth rinse,
Dental Gel, Breath Mints, Tongue Scraper, Relief
Gel
Toothpaste, Breath Strips, Mouthrinse
Pre-Rinse, Mouthwash, Lozenges
Mouthwash-0.003%
Toothpaste, Oral Spray, Oral Rinse
“Trizox” compound, Tongue gel, tongue brush,
mouth rinse
‘ZyClor’ compound, tongue cleaner, mouth rinse
Mouthrinse in two 473ml bottles. The green bottle
is zinc and the white bottle is chlorine dioxide.Now
travel packets and toothpaste.
2.) Zinc Compounds
BreathRx (CPC and Zinc rinse,
zinc toothpaste)
Arm & Hammer P.M.
TriOral Action
Philips acquired Discus Dental
www.philipsoralhealthcare.com
Church & Dwight Co.
TriOral
Mouthwash,toothpaste,gumballs,mints,spray and
tongue cleaner
Toothpaste
Toothpaste, Gum, Mints
Johnson and Johnson
www.listerine.com
TheraBreath Global
Toothpaste, Mouthwash, PocketPaks Pocket Mist,
Breath Strips
Rinse,Breath Strips,Gum,Toothpaste,Kit
Colgate-Palmolive
Toothpaste
Scandinavian Formulas
The Natural Dentist
www.thenaturaldentist.com
Dental Herb Company
Tom’s of Maine
Country Life
Soft Gel Tablets
Toothpaste, Oral rinse
3.) Essential Oils
Listerine
TheraBreath
4.) Triclosan
Colgate Total Series
5.) Naturals/Herbals
Good Breath
Healthy Teeth and Gums
Tooth & Gum Tonic
Tom’s Natural
Desert Essence Tea Tree Oil
V.
Oral rinse, dentifrice
Mouth rinse, toothpaste
Mouth spray, tea tree ingredient found also found
in toothpaste, mouthwash
STEPWISE APPROACH TO TREATMENT OF ORAL MALODOR
A.
Good subgingival plaque control and twice daily tongue cleaning – NOT BRUSHING!!
B.
Add zinc toothpaste twice daily. Increase zinc use with mouthwash as needed
C.
Switch mouthwash to chlorine dioxide if response is not adequate to B.
D.
Switch to chlorine dioxide toothpaste and a combination of chlorine dioxide and zinc
mouthwash if C is not adequate. Maintain twice daily tongue cleaning.